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A Rare Variant of ANK3 Is Associated With Intracranial Aneurysm
Junyu Liu1, Xin Liao2,3, Jilin Zhou1
1Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha, China.
Insights
Genetic variations in the ANK3 gene are linked to intracranial aneurysms (IA), a dangerous cerebrovascular disorder. This finding offers new insights into IA etiology and potential genetic risk factors.
Area of Science:
- Genetics
- Vascular Biology
- Neurology
Background:
- Intracranial aneurysm (IA) is a cerebrovascular disorder characterized by abnormal blood vessel dilation, often leading to life-threatening subarachnoid hemorrhage.
- The genetic underpinnings of IA remain incompletely understood, necessitating research into causative genetic factors.
Purpose of the Study:
- To identify genetic variants contributing to the etiology of intracranial aneurysms.
- To investigate the association of candidate genes with IA in familial and sporadic cases.
Main Methods:
- Whole-exome sequencing was employed in three IA-aggregate families to identify potential causative variants.
- Association studies were conducted on candidate variants in sporadic IA cases and control populations.
- Bioinformatic analyses were utilized to predict the functional impact of identified gene variants.
Main Results:
- Twenty variants were identified via whole-exome sequencing, with eight selected for further association studies.
- The ANK3 c.4403G>A (p.R1468H) variant showed a significant association with IA (OR=4.77, P=0.00019).
- Bioinformatic predictions indicated that the R1468H variation in ANK3 may affect vascular endothelial cell migration and cell-cell junctions, potentially weakening artery walls.
Conclusions:
- The ANK3 gene, specifically the p.R1468H variant, is identified as a significant candidate gene associated with intracranial aneurysm development.
- This finding suggests that ANK3 plays a crucial role in vascular integrity and may contribute to IA pathogenesis by affecting vascular endothelial cell function.
Abstract:
Intracranial aneurysm (IA) is a cerebrovascular disorder in which abnormal dilation of a blood vessel results from weakening of the blood vessel wall. The aneurysm may rupture, leading to subarachnoid hemorrhage with severe outcomes. This study was conducted to identify the genetic factors involved in the etiology of IA. Whole-exome sequencing was performed in three IA-aggregate families to identify candidate variants. Further association studies of candidate variants were performed among sporadic cases and controls. Bioinformatic analysis was used to predict the functions of candidate genes and variants. Twenty variants were identified after whole-exome sequencing, among which eight were selected for replicative association studies. ANK3 c.4403G>A (p.R1468H) was significantly associated with IA (odds ratio 4.77; 95% confidence interval 1.94-11.67; p-value = 0.00019). Amino acid R1468 in ANK3 was predicted to be located in the spectrin-binding domain of ankyrin-G and may regulate the migration of vascular endothelial cells and affect cell-cell junctions. Therefore, the variation p.R1468H may cause weakening of the artery walls, thereby accelerating the formation of IA. Thus, ANK3 is a candidate gene highly related to IA.
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